Twb tau ntau teev lawm txij li thaum koj pib mob plab, thiab koj tab tom yuav yug me nyuam. Tiamsis tseem tsis tau muaj ib qho cim qhia tias tus me nyuam yuav yug los? Qee zaum kev mob plab qeeb qeeb, lossis nws nres ib nrab. Thaum lub sijhawm zoo li no, cov kws kho mob ua cov kauj ruam los pab koj thiab koj tus me nyuam sai dua. Niaj hnub no, peb tab tom tham txog ib yam dab tsi uas ntau tus neeg tsis paub txog, hu ua 'kev pab yug me nyuam.'
Kev Ua Haujlwm Ntxiv Yog Dab Tsi?
Hais yooj yim xwb, qhov no txhais tau tias ua kom cov txheej txheem ntawm kev yug menyuam uas twb pib ntuj tsim lawm, tab sis qeeb lossis tau nres ib nrab. Xav txog, koj qhov kev mob plab tab tom los, tab sis qhov kev mob plab tsis muaj zog heev, lossis lub sijhawm ntawm kev mob plab ntev dhau. Lossis, tom qab ib pliag, qhov kev mob plab tsis ua haujlwm. Thaum lub sijhawm zoo li no, kev ncua sijhawm yug menyuam tsis zoo rau koj thiab tus menyuam. Thaum ntawd cov kws kho mob siv tshuaj lossis lwm txoj hauv kev los pab tus menyuam yug los ntawm kev txhawb zog qhov kev mob plab ntawm lub tsev menyuam me ntsis, ua rau lawv muaj ntau zaus.
Puas yog 'Augmentation' thiab 'Induction' ob yam sib txawv?
Yog, qhov no yog qhov uas ntau tus neeg tsis meej pem. Cov no yog ob yam sib txawv kiag li. Cia peb saib seb qhov txawv ntawm ob qho no yog dab tsi.
| Qhov tseeb | Kev txhawb zog ntawm kev ua haujlwm | Kev ua kom sai ntawm kev yug menyuam (Augmentation) |
|---|---|---|
| Lub Hom Phiaj | Ua kom kub taub hau los ntawm kev muab tshuaj sab nraud thaum tseem tsis tau kub taub hau. | Pab thiab ua kom cov txheej txheem ntuj tsim ntawm kev loj hlob sai thaum nws daig . |
| Cov xwm txheej siv | Thaum tus me nyuam tsis tau yug txawm tias tom qab hnub puv lawm los xij, thaum cov dej tawg thiab tus me nyuam tsis tau yug los, lossis thaum leej niam lossis tus me nyuam yuav tsum tau yug tus me nyuam sai sai vim muaj teeb meem kev noj qab haus huv. | Thaum lub sijhawm yug menyuam tsis nce qib txawm tias tom qab 18-24 teev ntawm kev yug menyuam los xij. (Tsis nce qib). |
Leej twg xav tau kev txhawb nqa kev ua haujlwm?
Txoj kev no yuav tsim nyog yog tias koj tau pib yug me nyuam yam ntuj tsim, tab sis koj tseem tab tom yug me nyuam. Muaj ob peb qho laj thawj tseem ceeb uas ua rau koj yug me nyuam tsis tau zoo:
- Kev cog lus tsis muaj zog lossis tsis sib xws: Cov kev cog lus tab tom los, tab sis lawv tsis muaj zog txaus los qhib lub qhov ncauj tsev menyuam. Los yog lawv tuaj ua nthwv dej, tsis yog ua ib kab.
- Kev tso tseg tag nrho ntawm kev mob plab: Yog tias kev mob plab tuaj thiab mus ib pliag thiab tom qab ntawd nres tam sim ntawd.
- Lub hnab amniotic tsis tawg: Thaum qhov no, uas peb hu ua "hnab dej," tawg, tus menyuam lub taub hau nias ncaj qha rau ntawm lub qhov ncauj tsev menyuam. Qhov no ua rau lub qhov ncauj tsev menyuam qhib sai. Qee zaum, txawm tias qhov no tsis tawg los xij, kev yug menyuam tuaj yeem qeeb.
Puas muaj tej yam xwm txheej uas siv tsis tau txoj kev no?
Yog, txoj kev no tsis haum rau txhua tus. Koj tus kws kho mob yuav tsis pom zoo txoj kev no rau cov xwm txheej hauv qab no:
- Tus me nyuam pw: Yog tias tus me nyuam nyob rau hauv ib qho chaw uas tsis yog lub taub hau nqes. Piv txwv li, yog tias tus me nyuam pw hauv lub pob tw lossis pw hla .
- Qhov caws pliav ntawm lub tsev menyuam: Yog tias koj tau phais cesarean (C-section) lossis lwm yam kev phais mob ntawm lub tsev menyuam thiab muaj cov caws pliav. Qhov no yog vim muaj kev pheej hmoo me me ntawm kev tawg ntawm lub tsev menyuam los ntawm cov caws pliav qub thaum muab tshuaj los txhawb kev cog lus.
- Asherman syndrome: Ib qho mob uas cov nqaij caws pliav tsim nyob rau hauv lub tsev menyuam.
Yuav ua li cas kom sai dua yug menyuam?
Muaj ntau txoj kev uas cov kws kho mob siv los pab kom lub cev xeeb tub sai dua. Txoj kev uas koj xaiv yuav nyob ntawm koj qhov xwm txheej.
| Kev Kawm Txuj Ci | Ua li cas rau nws? |
|---|---|
| Rhuav lub hnab dej (Amniotomy) | Tus kws kho mob siv ib lub cuab yeej tshwj xeeb los rhuav lub hnab amniotic (lub hnab dej) uas nyob ib puag ncig tus menyuam. Thaum cov kua amniotic tawm, tus menyuam lub taub hau yuav nias ncaj qha rau ntawm lub qhov ncauj tsev menyuam. Qhov kev nyem no ua rau lub qhov ncauj tsev menyuam qhib sai dua thiab ua rau lub plab loj dua. |
| Muab tshuaj | Ib yam tshuaj uas tsim los ntawm tshuaj (xws li Pitocin® ) uas ua raws li cov tshuaj hormone oxytocin uas lub cev tsim tawm los ntawm nws tus kheej yuav muab rau koj los ntawm cov kua ntsev. Qhov no ua rau thiab ua rau lub tsev menyuam muaj zog dua. |
| Lub raj xa dej uas muaj lub npas | Ib lub catheter (ib lub raj nyias nyias) raug ntxig los ntawm lub qhov ncauj tsev menyuam thiab lub npas nyob rau ntawm qhov kawg raug cua. Lub zog ntawm lub npas no maj mam qhib lub qhov ncauj tsev menyuam. Thaum lub qhov ncauj tsev menyuam nthuav dav txaus, lub npas thiab catheter poob tawm ntawm lawv tus kheej. |
Qhov tseem ceeb tshaj plaws, koj thiab koj tus menyuam lub plawv dhia yuav raug saib xyuas tas li hauv hluav taws xob (electronic fetal monitoring) thaum siv cov txheej txheem no. Qhov no txhais tau tias yog tias muaj teeb meem, pab pawg kho mob tuaj yeem nrhiav tau sai.
Qhov no muaj txiaj ntsig dab tsi?
Qhov zoo tshaj plaws yog tias nws ua rau muaj feem ntau dua rau kev yug menyuam los ntawm qhov chaw mos, zam kev phais cesarean (C-section). Lub sijhawm rov zoo tom qab C-section feem ntau ntev dua thiab qhov mob hnyav dua. Yog li ntawd, nws yog qhov zoo tshaj plaws kom muaj kev pab yug menyuam, tshwj tsis yog tias tsim nyog kiag li.
Yuav muaj kev pheej hmoo dab tsi tshwm sim?
Ib yam li lwm yam kev kho mob, muaj qee qhov kev pheej hmoo me me uas cuam tshuam. Tab sis nco ntsoov tias cov no tsis tshua muaj thiab cov kws kho mob tau npaj los tswj lawv.
- Kev ua kom lub tsev menyuam loj hlob sai: Qee zaum, cov tshuaj oxytocin tuaj yeem ua rau lub tsev menyuam loj hlob ntau dua li qub. Qhov kev nyuaj siab ntau dhau no tuaj yeem ua rau tus menyuam hauv plab ntxhov siab . Qhov no txhais tau tias tus menyuam yuav tsis tau txais ntshav thiab oxygen txaus. Cov kws kho mob tuaj yeem tswj hwm qhov mob no los ntawm kev kho qhov ntau npaum li cas ntawm cov tshuaj thiab saib xyuas nws ze.
- Kev kis kab mob: Thaum lub hnab dej raug rhuav tshem los ntawm kev dag, kev kis kab mob ntawm cov kab mob (chorioamnionitis) yuav tsis tshua muaj tshwm sim. Qhov no kuj tseem tuaj yeem ua rau muaj kev kis kab mob rau tus menyuam mos.Muaj kev pheej hmoo ntawm kev kis tus kab mob rau cov menyuam mos. Yog li ntawd, koj thiab koj tus menyuam yuav tau txais tshuaj tua kab mob yog tias tsim nyog.
- Txoj hlab ntaws poob: Thaum lub hnab dej tawg, muaj qhov kev pheej hmoo me me uas txoj hlab ntaws yuav poob rau hauv qhov chaw mos ua ntej tus menyuam lub taub hau. Yog tias qhov no tshwm sim, txoj hlab ntaws tuaj yeem raug nias thiab tus menyuam yuav tsis tau txais oxygen lawm. Qhov no yog qhov xwm txheej ceev thiab yuav tsum tau phais mob tam sim ntawd.
Cov tsos mob dab tsi uas yuav tsum tau hu rau koj tus kws kho mob tam sim ntawd?
Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no tom qab koj mus tsev tom qab yug me nyuam, qhia rau koj tus kws kho mob tam sim ntawd lossis mus rau chav kho mob ceev (ETU) ze tshaj plaws.
| Cov tsos mob | Kev piav qhia |
|---|---|
| Mob hauv siab | Mob hauv siab tam sim ntawd, mob hnyav. |
| Kiv taub hau los yog tsaus muag (syncope) | Qhov muag xiav, kiv taub hau lossis tsaus muag. |
| Los ntshav ntau ntawm qhov chaw mos | Yog koj los ntshav ntau heev ua rau daim ntaub so huv ntub tag hauv ib teev. |
| Cov kua tawm ntawm qhov chaw mos uas muaj ntxhiab tsw phem | Yog tias muaj cov kua tawm tsis zoo, tsw ntxhiab tsw phem. |
| Cov cim qhia txog kev kis kab mob | Cov tsos mob muaj xws li kub taub hau, mob khaub thuas, thiab tshee hnyo. |
| Ua pa nyuaj (ua tsis taus pa) | Yog koj xav tias ua pa nyuaj. |
| Kev o (edema) | Qhov o ntawm ob txhais ceg, caj npab, lossis lub ntsej muag txawv txawv. |
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev siv forceps los pab ua haujlwm uas twb pib qeeb qeeb lossis tsis tau ua tiav lawm.
- Lub hom phiaj tseem ceeb ntawm qhov no yog kom koj thiab koj tus menyuam noj qab nyob zoo thiab muaj kev nyab xeeb, thiab kom yug menyuam tiav.
- Tsis tas yuav txhawj vim tias pab neeg kho mob yuav saib xyuas koj thiab koj tus menyuam ze ze tas li.
- Yog tias koj muaj lus nug txog kev yug menyuam, tshuaj loog mob, lossis cov txheej txheem no, tsis txhob ntshai nug koj tus kws kho mob.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus